Debra Allen
Individual provider Active NPI Counselor · Vallejo, CA
NPI 1497239503 · NPPES record last updated Sep 25, 2018
Key facts
- NPI
- 1497239503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 508 Alabama St
Vallejo, CA 94590-4446 - Phone
- (510) 318-6137
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | ||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
508 Alabama St
Vallejo, CA 94590-4446
Mailing address
508 Alabama St
Vallejo, CA 94590-4446
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.